EVALUATING A NOVEL BIOACTIVE GLASS TOOTHPASTE FOR MANAGING DENTIN HYPERSENSITIVITY IN PATIENTS UNDERGOING ORTHODONTIC TREATMENT
Keywords:
Bioactive Glass, Dentin Hypersensitivity; , Desensitizing Agents, Orthodontics, Pain Measurement, Randomized Controlled Trial, ToothpastesAbstract
Background: Dentin hypersensitivity is a common clinical concern among orthodontic patients, often exacerbated by tooth movement and enamel surface changes. Conventional desensitizing toothpastes offer varying degrees of relief, yet many patients continue to experience discomfort. Bioactive glass–based formulations have emerged as promising alternatives due to their ability to occlude dentinal tubules and promote mineral deposition, potentially offering enhanced symptom reduction.
Objective: To evaluate the efficacy of a novel bioactive glass toothpaste in reducing dentin hypersensitivity among orthodontic patients compared with a standard desensitizing toothpaste.
Methods: A randomized controlled trial was conducted involving participants undergoing fixed orthodontic treatment who reported dentin hypersensitivity. Individuals were randomly allocated to either the intervention group using a bioactive glass toothpaste or the control group using a standard desensitizing toothpaste. Pain intensity was assessed at baseline, week 2, and week 4 using a standardized Visual Analog Scale (VAS) following thermal and tactile stimuli. Demographic data and all outcome measures were analyzed using appropriate comparative statistical tests.
Results: Participants in the bioactive glass group showed greater reductions in mean VAS scores compared with the control group at both follow-up points. By week 4, the intervention group demonstrated a substantial decline in hypersensitivity levels, whereas the control group exhibited only moderate improvement. Across both assessment modalities, statistically significant between-group differences were observed, indicating superior performance of the bioactive glass formulation.
Conclusion: The novel bioactive glass toothpaste produced a more pronounced reduction in dentin hypersensitivity than the standard desensitizing toothpaste in orthodontic patients. These findings support its potential as an effective adjunct for managing sensitivity during orthodontic treatment.
References
1. Petrović D, Galić D, Seifert D, Lešić N, Smolić MJB. Evaluation of bioactive glass treatment for dentin hypersensitivity: A systematic review. 2023;11(7):1992.
2. Al-Haddad A, Alarami N, Alshammari AF, Madfa AAJBOH. Efficacy of bioactive glass-based desensitizer compared to other desensitizing agents or techniques in dentin hypersensitivity: a systematic review. 2025;25(1):899.
3. Limeback H, Enax J, Meyer FJB. Clinical evidence of biomimetic hydroxyapatite in oral care products for reducing dentin hypersensitivity: an updated systematic review and meta-analysis. 2023;8(1):23.
4. Mosquim V, Santin DC, Jacomine JC, Zabeu GS, Gillam DG, Hill RG, et al. Metals, fluoride and bioactive glass on dentin hypersensitivity and quality of life: a 6-month double-blind randomized clinical trial. 2025:105931.
5. Li J, Han Q, Zhang L, Zhang J, Yin W, Zhong YJJoD. Efficacy of a novel dentifrice containing bioactive glass-ceramic for dentinal hypersensitivity: A double-blind randomized controlled trial in Chinese adults. 2024;144:104898.
6. West NEWNX, West NXJETWFDtT. Therapeutic Strategies for Erosive Tooth Wear Related to Dentine Hypersensitivity. 2025:228.
7. Mosquim V, Wang L, Zabeu GS, Francisconi-dos-Rios LF, Gillam DG, Magalhães AC. Treatment Modalities and Procedures. Dentine Hypersensitivity: Advances in Diagnosis, Management, and Treatment: Springer; 2025. p. 99-130.
8. Mirwais A. Effect of tooth mousse containing bioactive glass on remineralisation of teeth: Queen Mary University of London; 2024.
9. Parimala YK, Sankeshwari RM, Ankola AV, Ragu K, Shankkari SJIJoIM. Herbal Toothpastes as Desensitizing Agents: A Review. 2025;5(3).
10. MUNDHADA N, MAKADE C, SHENOI P, TEKAM D, GUPTA SJJoC, Research D. Dentinal Tubule Occluding Efficacy of Three Nano Biomaterials Containing Toothpastes on Simulated Hypersensitive Dentin: An SEM and EDX In-vitro Analysis. 2024;18(8).
11. SONI S, SAHU S. Dental Application of Properties of Smart Materials: Book Rivers; 2022.
12. Mosleh AA, Niazy MA. Natural Dentin Desensitizing Agents. Natural Conservative Dentistry: An Alternative Approach to Solve Restorative Problems: Bentham Science Publishers; 2024. p. 135-68.
13. Srinivasan MK, Alamelu S, Premnath BJ, Jayaseelan N, Venkatesan KB, Kamaraj S-K, et al. Revolutionizing dentistry: applications of bioactive glass. Glass-based Materials: Advances in energy, environment and health: IOP Publishing Bristol, UK; 2024. p. 4-1-4-25.
14. Viglianisi G, Polizzi A, Lombardi T, Amato M, Grippaudo C, Isola GJB. Biomechanical and Biological Multidisciplinary Strategies in the Orthodontic Treatment of Patients with Periodontal Diseases: A Review of the Literature. 2025;12(1):49.
15. Roy R. Navigating Through Orthodontic Scars-A Clinical Insight: The Write Order Publication; 2025.
16. Miglani S, Bhutiani N. Harmonizing Endodontics and Orthodontics: Preventing and Managing Common Complications. Common Complications in Endodontics: Prevention and Management: Springer; 2025. p. 251-68.
17. Wazwaz F. Investigations into orthodontic tooth movement rate: King's College London; 2023.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Fatima Tu Zohra, Aiman Zahra , Abdul Wahab Ali (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.

